Active NPI
Shira Moer, OTR/L
- Occupational Therapist
- Fair Lawn, NJ
National Provider Identifier
1144599085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63 01652
- Practice address
- 8-24 Susan PL
Fair Lawn, NJ 07410-1616 - Phone
- (212) 927-3422
- NPI assigned
- Dec 21, 2011
- Last updated
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 63 01652 | NY | Primary |
| Occupational Therapist | 225X00000X | 46TR00540300 | NJ |
Addresses
Primary practice location
8-24 Susan PL
Fair Lawn, NJ 07410-1616
Mailing address
1475 E Terrace Cir
#4
Teaneck, NJ 07666-5214
Phone (917) 767-5017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63 01652 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Care Physical Therapy Rehab.P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba elite care rehab
- Physical Therapist
- New York, NY
- NPI 1679780654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1144599085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 E TERRACE CIR",
"address_2": "#4",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076665214",
"telephone_number": "917-767-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8-24 SUSAN PL",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101616",
"telephone_number": "212-927-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOER",
"first_name": "SHIRA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63 01652",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00540300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.